here in my location when this is said by a treatment provider it is usually because a client has stated something like....your not helping...or other statements that are striking out at the treatment provider for not agreeing or not doing something that the client wants them to do...

example one time my therapist said something I didnt want to hear so I struck out at him by saying ....your not helping matters.. and he said to me well you must be getting something out of our sessions because you keep coming back. he was right, even though i struck out at him by being rude and saying he wasnt helping he really was, for if he wasnt why did I keep coming back.

a treatment provider also says this when things are at a stand still and no progress is being made, so the treatment provider just figures there must be a reason why the client keeps coming back, some need is getting met somehow otherwise they would not keep coming back...

example one of my therapists one day said to me ...you must be getting something out of our time together otherwise you wouldnt keep coming back. I look at her and said what? we had been sitting there quietly when she threw that out there so I had no idea what she meant by it. she looked at me and said think about it, why are you here, why did you come last week, why did you come back today, do you have plans to come in next week, if so why. you schedule, you come in on time and here we sit, you looking at the wall, ceiling, floor and I get to watch you watching the walls. But you must be getting something out of this other wise you would not keep scheduling appointments, and keep coming in, right?

she had a point why was I scheduling and coming back just to stare at the walls, what was I getting out of sitting there for an hour watching the walls. after thinking about it I realized what I was getting out of it was time to sit and just be for a bit, even if just being was watching the walls. I was also getting enjoyment out of being in therapy watching the walls because of how her window hangings made colorful shadows on the walls. very calming and comforting.

my point is only you know why you go to therapy and only you know what you want to accomplish by going to therapy. therapists are going to assume your needs are getting met unless you tell them what you need from them and why you are going to therapy.

my suggestion think about why you want or need to be in therapy and whether what is going on in therapy right now for you is accomplishing that goal. if not then time to think about what is it that keeps you going back to therapy. and when in doubt about what your therapist meant...ask them, only they know for sure what they meant by what they said.